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diagnosis differential management criticalcare cardiology classification neurology treatment clinical foamed overview pharmacology syndrome 21hydroxylasedeficiency 21ohd addiction als amyotrophic assessment buprenorphine
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... , Acute spinal cord ... finding in spinal cord ... Hyperreflexia #Testing ... #diagnosis #table
Shock - Differential Diagnosis Algorithm Warm Extremities - Distributive Shock - Low JVP
Shock - Differential ... Diagnosis Algorithm ... • Neurogenic Cold ... Differential #Diagnosis #Algorithm ... #causes
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Anaphylaxis - Spinal cord ... a.k.a. neurogenic shock ... exacerbation (any cause ... Classification #Table
Cold Urticaria Prevalence - 0.05% in the population Disease onset - Mostly 2nd to 4th decades of life Causes
Cold Urticaria Prevalence ... skin contact with cold ... minutes after the cold ... , Hypotension, shock ... #table
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Differential Diagnosis Algorithm ... Artery Disease • Stable ... • Asthma • COPD ... Pneumonia • ARDS • COPD ... #Causes
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... production to cause ... pts with severe COPD ... CT/MRI ($$$$) CORE
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
e.g. pneumonia, COPD ... Cerebral salt wasting ... Differential #Diagnosis #Table ... #Causes #Sodium
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... occurring in the setting ... develop in the setting ... Ext: warm vs. cold ... #differential #causes
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
enzyme 21-OHase causes ... glands • Salt wasting ... vomiting • Late (shock ... ): cold & mottled ... #21HydroxylaseDeficiency #21OHD #pathophysiology
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... occurring in the setting ... develop in the setting ... Ext: warm vs. cold ... #differential #causes
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